NURSING 4530 EXAM 2 MENTAL HEALTH QUESTIONS AND ANSWERS
GRADED A+ LATEST UPDATE.
1. Which of the following are considered to be positive signs of schizophre-
nia? ANS >>> Disorganized behaviors, hallucinations, delusions, disorganized
thinking.
2. The nurse is planning discharge teaching for a client taking Clozapine
(Clozaril). Which of the following is essential to include? ANS >>> Remind the
client to go to the lab to have blood drawn for a WBC count
3. What are the correct symptoms of NMS? ANS >>> Decreased LOC,
Drooling, Fever above 106F, Tachycardia, labile Hypertension, Muscle regidity.
4. A nurse is assessing a male client who recently began taking haloperidol,
which of the following findings is the highest priority to report to the provider.-
ANS >>> Neck Spasms.
5. Jack is a 48 years old and has been diagnosed with schizophrenia since the
age of 22. He often forgets things, looses items, and is frequently confused.
He is living in a residential home and needs help with his ADL's and cooking
for himself. He frequently forgets to take his medications. He often wanders
the neighborhood looking in garbage cans to find "the hidden treasures of
Queen Elizabeth." He comes to the outpatient psychiatric clinic to get his
medication today and repeatedly says, "I don't need this stuff, it doesn't help
me at all." What medication would be most appropriate for Jack, given his
https://www.stuvia.com/en-us/user/techgrades
, history? ANS >>> Risperdal Consta IM q 2 weeks
6. Schizoaffective disorder is best described by which of the following? ANS
>>> Schiz- ophrenia with a mood component.
7. During an admission assessment, a nurse asks a client diagnosed with
schizophrenia, "Have you ever felt that certain objects or persons have con-
trol over your behavior?" The nurse is assessing for which type of thought
disruption? ANS >>> Delusions of influence.
8. You are completing your rounds with your patients. Norah is a patient that
is due for her regular dose of olanzapine (Zyprexa). As you are talking with
Norah, you start to suspect Neuroleptic Malignant Syndrome (NMS). You call
the healthcare provider and they confirm that it is NMS. What would you expect
the healthcare provider to verbally order for you to do? ANS >>> get an order
from the healthcare provider to administer dantrolene (Dantrium)
9. A client with schizophrenia states, "I hear Moses calling me constantly. He
says I should leave the hospital today and save the Pilgrims from death. Do
you hear it too?" Which of the following would be the nurse's most therapeutic
response? ANS >>> "No, I don't hear the voice. I know that you are hearing what
sounds like a voice."
10. Which of the statements are true when thinking about first generation
antipsychotics (phenothiazines)? Select all that apply. ANS >>> They block
histamine which may cause sedation and anticholinergic effects., May cause
hypotention and
https://www.stuvia.com/en-us/user/techgrades
GRADED A+ LATEST UPDATE.
1. Which of the following are considered to be positive signs of schizophre-
nia? ANS >>> Disorganized behaviors, hallucinations, delusions, disorganized
thinking.
2. The nurse is planning discharge teaching for a client taking Clozapine
(Clozaril). Which of the following is essential to include? ANS >>> Remind the
client to go to the lab to have blood drawn for a WBC count
3. What are the correct symptoms of NMS? ANS >>> Decreased LOC,
Drooling, Fever above 106F, Tachycardia, labile Hypertension, Muscle regidity.
4. A nurse is assessing a male client who recently began taking haloperidol,
which of the following findings is the highest priority to report to the provider.-
ANS >>> Neck Spasms.
5. Jack is a 48 years old and has been diagnosed with schizophrenia since the
age of 22. He often forgets things, looses items, and is frequently confused.
He is living in a residential home and needs help with his ADL's and cooking
for himself. He frequently forgets to take his medications. He often wanders
the neighborhood looking in garbage cans to find "the hidden treasures of
Queen Elizabeth." He comes to the outpatient psychiatric clinic to get his
medication today and repeatedly says, "I don't need this stuff, it doesn't help
me at all." What medication would be most appropriate for Jack, given his
https://www.stuvia.com/en-us/user/techgrades
, history? ANS >>> Risperdal Consta IM q 2 weeks
6. Schizoaffective disorder is best described by which of the following? ANS
>>> Schiz- ophrenia with a mood component.
7. During an admission assessment, a nurse asks a client diagnosed with
schizophrenia, "Have you ever felt that certain objects or persons have con-
trol over your behavior?" The nurse is assessing for which type of thought
disruption? ANS >>> Delusions of influence.
8. You are completing your rounds with your patients. Norah is a patient that
is due for her regular dose of olanzapine (Zyprexa). As you are talking with
Norah, you start to suspect Neuroleptic Malignant Syndrome (NMS). You call
the healthcare provider and they confirm that it is NMS. What would you expect
the healthcare provider to verbally order for you to do? ANS >>> get an order
from the healthcare provider to administer dantrolene (Dantrium)
9. A client with schizophrenia states, "I hear Moses calling me constantly. He
says I should leave the hospital today and save the Pilgrims from death. Do
you hear it too?" Which of the following would be the nurse's most therapeutic
response? ANS >>> "No, I don't hear the voice. I know that you are hearing what
sounds like a voice."
10. Which of the statements are true when thinking about first generation
antipsychotics (phenothiazines)? Select all that apply. ANS >>> They block
histamine which may cause sedation and anticholinergic effects., May cause
hypotention and
https://www.stuvia.com/en-us/user/techgrades
